scholarly journals Concerns of hemodialysis patients

2020 ◽  
Vol 6 (2) ◽  
pp. 56
Author(s):  
Sofia Benetou ◽  
Stavros Tsirigotis ◽  
Evangelos Dousis ◽  
Victoria Alikari ◽  
Eleni Evangelou ◽  
...  
Keyword(s):  
Social Life ◽  
Hemodialysis Patients ◽  
Psychological State ◽  
Categorical Variables ◽  
Patient Centered ◽  
Convenience Sample ◽  
Hemodialysis Unit ◽  
Stage Renal Disease ◽  
End Stage

Introduction: Hemodialysis, which is the most common treatment in individuals with end stage renal disease, includes a series of limitations and modifications in daily life that adversely affect patients' physical and psychological state. Eliciting and addressing patients’ concerns is a key aspect of patient-centered treatment.  Unaddressed concerns may lead to lower satisfaction and   lower quality of medical care.Aim: To explore  concerns of hemodialysis patients. Method and material: A Descriptive study on a convenience sample of  patients undergoing hemodialysis in dialysis centers in Athens. Data was collected by the completion of a questionnaire which included the patients' concerns. Categorical variables are presented by absolute and relative frequencies (percentages).Results: In the present study were enrolled 100 patients, of whom 73% were male, 55% were>60 years old, 66% were married and 30% of primary level of education. Regarding patients' concerns, 36% of participants were bothered to spend time on dialysis center, 65% and 49% were concerned about a possible discontinue of fistula and hemodialysis machine respectively, while 59% were concerned about restrictions  in social life, 39% in their role as a spouse,  71% about fluid restrictions, 55% about diet restrictions and  53% were concerned about transport "to and from" hemodialysis unit. In terms of limitations due to hemodialysis,  30% reported limitation in clothes, 69% in going for holidays and 67% in sexual life.Conclusions: Expanding nurses knowledge about patients' concerns  is essential to implement individualized effective therapeutic strategies.

Effect of Intradialytic Parenteral Nutrition on Quality of Life in Hemodialysis Patients

1993 ◽  
Vol 16 (8) ◽  
pp. 599-603 ◽  
Author(s):  
M.S. Siskind ◽  
Y-H. H. Lien
Keyword(s):  
Quality Of Life ◽  
Parenteral Nutrition ◽  
High Efficiency ◽  
Hemodialysis Patients ◽  
Dialysis Session ◽  
Eligibility Requirements ◽  
Stage Renal Disease ◽  
End Stage ◽  
Intradialytic Parenteral Nutrition

The purpose of this study was to determine the effect of intradialytic parenteral nutrition (IDPN) on the quality of life of malnourished patients with end-stage renal disease on high-efficiency and high-flux hemodialysis therapy. Patients, who met the Medicare eligibility requirements for IDPN, were asked to fill out and extensive questionnaire covering several measures of quality of life prior to initiating and again after completing four months of IDPN therapy. Although the IDPN improved serum albumin levels significantly, aside from improved sleep patterns, no significant improvements in quality of life could be demonstrated. The mortality rate of these enrolled patients was as high as 28% within 4 months. We concluded that the limited amount of nutrition delivered over the course of a short dialysis session may not be enough to appreciably change the lives of our malnourished patients.

scholarly journals Physical Activity and Quality of Sleep in Patients with End-Stage Renal Disease on Hemodialysis: A Preliminary Report

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Vasiliki Theodorou ◽  
Eleni Karetsi ◽  
Zoe Daniil ◽  
Konstantinos I. Gourgoulianis ◽  
Vasileios T. Stavrou
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Pittsburgh Sleep Quality Index ◽  
Social Activity ◽  
Hemodialysis Patients ◽  
Quality Of Sleep ◽  
Daily Lives ◽  
Stage Renal Disease ◽  
End Stage

Chronic kidney disease significantly impairs patients’ daily lives and worsens their quality of life. The aim of this study was to investigate the physical activity and quality of sleep, during three days (previous day of dialysis, on the day of dialysis and after day of dialysis), in patients with end-stage renal on hemodialysis. 12 hemodialysis patients were included in our study, answered the Pittsburgh Sleep Quality Index (PSQI) questionnaire, and for each patient were used a smart bracelet for three days (day-pre- and posthemodialysis and day at hemodialysis) to record daily physical activity (steps, distance) and estimate the quality of sleep. Results showed differences between three days average of steps and distance and PSQI parameters “…engaging in social activity?” (steps, p=0.006, distance, p=0.006) and “…enthusiasm to get things done?” (steps, p=0.029, distance, p=0.030). Our study suggests interrelationship between sleep quality and physical activity.

The association between hope and quality of life in haemodialysis patients

2020 ◽  
Vol 29 (21) ◽  
pp. 1260-1265
Author(s):  
Ali Alshraifeen ◽  
Sami Al-Rawashdeh ◽  
Kaye Herth ◽  
Karimeh Alnuaimi ◽  
Fatmeh Alzoubi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Healthcare Providers ◽  
World Health ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Cross Sectional Design ◽  
Health Organization ◽  
Stage Renal Disease ◽  
End Stage

Background: Hope is important for patients with end-stage renal disease receiving haemodialysis (HD) and hope is associated with quality of life (QoL). Studies examining hope among the HD population are limited and, as far as the authors know, have not been undertaken in Jordan. Aims: To examine levels of hope and QoL and to examine the association between hope and QoL in HD patients in Jordan. Methods: A cross-sectional design was used. A convenience sample of 202 patients from six different dialysis centres was recruited. The World Health Organization QOL-BREF and the Herth Hope Index were used. Findings: Moderate levels of hope (M=32.3±4.1) were reported. Respondents reported low mean scores for the physical domain of QoL (M=48.3±21.1) but not for the psychological and social relationship domains. Higher hope scores were associated with better QoL. Conclusion: The findings suggest a positive relationship between the level of hope and QoL in people receiving HD. Encouraging hope while caring for HD patients in clinical settings may improve their QoL. Understanding the relationship between hope and QoL may help healthcare providers to improve the quality of care for patients and their families.

Providing counseling through home pharmacy care (HPC) for hemodialysis patients with hypertension in lowering blood pressure

2021 ◽  
Vol 32 (4) ◽  
pp. 459-465
Author(s):  
Rahmiyati Daud ◽  
Bambang Subakti Zulkarnain ◽  
Ivan Virnanda Amu
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Diastolic Blood Pressure ◽  
Hemodialysis Patients ◽  
Patient Medication ◽  
Counseling Group ◽  
Hemodialysis Unit ◽  
Quasi Experimental ◽  
Stage Renal Disease ◽  
End Stage

Abstract Objectives Hypertension is one of the main factors in increasing the risk of cardiovascular disease with 51% reported cause of death in chronic kidney disease (CKD) patients with end-stage renal disease (ESRD). It is a comorbid that needs to be managed properly and gets special attention from various health disciplines including a pharmacist. Methods This was a quasi experimental study with pretest–posttest intervention using home pharmacy care (HPC) counseling both on the counseling and the noncounseling group. Initial data collection and informed consent was done at the Hemodialysis Unit Aloei Saboe and Toto Kabila Hospital, Gorontalo. The parameters in the study were patients’ compliance to their medication using the Medication Adherence Questionnaire (MAQ) and Pill Count Adherence (PCA) questionnaires and the patient’s blood pressure. Results Fifty-eight patients met the inclusion criteria and were divided into two groups (the counseling group and the noncounseling group). Based on MAQ and PCA, the level of patient medication adherence increased significantly in the counseling group compared to the noncounseling group with a significance value of p<0.05. Increasing adherence was correlated with patients’ outcome of lowering blood pressure. More patients in the counseling group showed decrease in systolic and diastolic blood pressure compared to the noncounseling group (86.2 vs. 17.2% for systolic BP and 69 vs. 10.3% for diastolic blood pressure (BP). Following adjusted confounding variables, counseling through HPC provided a chance of decreasing systolic blood pressure 32 times (95% CI: 7.198–144.550) and diastolic blood pressure 42 times (95% CI: 6.204–286.677). Conclusions HPC affects the improvement of patient medication adherence and reduction of blood pressure in hemodialysis patients with hypertension.

scholarly journals Duchenne Smile is Associated with Quality of Life and Survival in Hemodialysis Patients

2020 ◽  
Vol 44 (3) ◽  
pp. 313-325
Author(s):  
Mabel Aoun ◽  
Ghassan Sleilaty ◽  
Leony Antoun ◽  
Racha Dib ◽  
Dania Chelala
Keyword(s):  
Quality Of Life ◽  
Hemodialysis Patients ◽  
Physical Component Score ◽  
Dialysis Patients ◽  
Duchenne Smile ◽  
Health Related Qol ◽  
Health Related ◽  
Stage Renal Disease ◽  
End Stage

Objectives: Hemodialysis is the most used renal replacement modality for end-stage renal disease patients. Dialysis patients are usually assessed for quality of life (QoL) but smiling was never studied. Duchenne smile is a genuine expression of joy, associated with better survival in some groups of the general population. In this study, we aimed to evaluate whether the smile of dialysis patients can predict their QoL and mortality. Methods: All hemodialysis patients in Saint-George Hospital were included in this prospective study. Patients were interviewed using the Health-Related QoL questionnaire and followed for 10 days for smile screening. Those who smiled more than 34% of time were considered as smiling, then followed for death over 2 years. Results: Overall, 71 patients were studied. Duchenne smile was associated with death at 1 and 2 years (HR = 0.194 [95% CI 0.039-0.958], p = .044) but not with sex or diabetes. Smiling showed a statistically significant correlation with older age, fewer hospitalizations, vitality, physical component score, several QoL scores and general health. Conclusions: A simple observation of patients' Duchenne smile by nephrologists in hemodialysis units can give an idea about their QoL and 2-year survival.

scholarly journals Association of Quality of Life, Anxiety, and Depression with Restless Leg Syndrome in the Hemodialysis Patients

2021 ◽  
Author(s):  
Mahjabeen Yaseen ◽  
Furqan Ahmad Jarullah ◽  
Sadia Yaqoob ◽  
Hassan Abdullah Shakeel ◽  
Hamza Maqsood ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Kidney Diseases ◽  
Hemodialysis Patients ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Restless Leg Syndrome ◽  
P Values ◽  
Stage Renal Disease ◽  
End Stage

Abstract ObjectivesRestless Legs Syndrome (RLS) is commonly known to cause morbidity in patients on hemodialysis, making them prone to chronic mental health illnesses such as depression and anxiety, and also adversely impact quality of life. In this study, we examined the association of quality of life, anxiety, and depression with restless leg syndrome in the hemodialysis patients at Karachi Institute of Kidney Diseases. ResultsAbout 26.7% of the participants reported RLS among the sample size Presence of RLS was not associated with quality of life, depression, and anxiety. However, p-values <0.05 were significant for body-mass index (BMI), diabetes mellitus as a cause of end-stage renal disease, and serum albumin levels. Majority (82.5%) of the RLS-diagnosed patients had moderate to severe symptoms with 16 (40%) and 17 (42.5%) clients, respectively.

scholarly journals Tunnelled hemodialysis catheter-related bloodstream infection with Ochrobactrum anthropi: a report of the first two cases from Bulgaria and a brief overview

Folia Medica ◽  
2021 ◽  
Vol 63 (1) ◽  
pp. 148-152
Author(s):  
Biser K. Borisov ◽  
Hristina Y. Hitkova ◽  
Stela P. Linkova
Keyword(s):  
Bloodstream Infection ◽  
Hemodialysis Patients ◽  
High Morbidity ◽  
Ochrobactrum Anthropi ◽  
Central Venous ◽  
Hemodialysis Catheter ◽  
Stage Renal Disease ◽  
End Stage ◽  
Catheter Related Bloodstream Infection

The use of central venous catheters for hemodialysis continues to grow worldwide, despite the efforts of many specialists. Patients with end-stage renal disease have impaired immunity, which is why infections are the most common complication seen in them. It worsens their quality of life and is a major cause of high morbidity and mortality, especially in hemodialysis patients. We report two cases of catheter-related bloodstream infection in hemodialysis patients caused by Ochrobactrum anthropi, which are the first reported cases in Bulgaria and present a brief literature review of the known facts.

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